, one provider for 3500 people in new york city is entirely diff and from 3500 people in fremont or campbell county. in addition, when you think more creatively of technology services to improve telemedicine capabilities so worried for less impact on the level of care they are able to receive come advancement of more powerful wireless technologies has substantial potential to link individuals across the country to deliver health care more accessible settings. we've had quite a bit of success for some veterans outreach clinics where they used medicine extensively with the nurse practitioners in charge of handling to quit and an adapter on the other end of the telemedicine. i hope this time will make it clear we need to think more creatively and figure out ways in which all americans can better access primary care services and waste to ensure health care professionals are employed were most needed. i look forward to hearing witnesses and what needs to be done to solve these problems at the federal, state and local level. what you think witnesses for their participation in the chairman for his